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10.3389/fped.2021.726949

http://scihub22266oqcxt.onion/10.3389/fped.2021.726949
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suck abstract from ncbi


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pmid34552899      Front+Pediatr 2021 ; 9 (ä): 726949
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  • Case Report: Endothelial Glycocalyx Damage in Critically ill Patients With SARS-CoV-2-Related Multisystem Inflammatory Syndrome (MIS-C) #MMPMID34552899
  • Fernandez-Sarmiento J; Florez S; Alarcon-Forero LC; Salazar-Pelaez LM; Garcia-Casallas J; Mulett H; Acevedo L; Salamanca C
  • Front Pediatr 2021[]; 9 (ä): 726949 PMID34552899show ga
  • Endothelial insult and damage is one of the reported consequences of SARS-CoV-2 infection. It has been associated with severe inflammation, thrombotic phenomena and profound hypoxemia in critically ill patients. Endothelial activation leads to a loss of the endothelium's antithrombotic properties which, under normal conditions, are maintained by the endothelial glycocalyx, a carbohydrate-rich layer that covers the luminal surface of endothelial cells. In children, one of the serious forms of SARS-CoV-2 virus disease (COVID-19) is multisystem inflammatory syndrome (MIS-C). This new disease is characterized by a large inflammatory response and frequent cardiovascular, cutaneous and gastrointestinal disorders. We describe the first two cases of critically ill children with MIS-C who evidenced a large inflammatory response associated with elevated plasma and imaging biomarkers of endothelial activation and endothelial glycocalyx degradation. This microcirculation involvement in MIS-C could, at least partially, explain some of the clinical manifestations and laboratory and imaging alterations found in these patients. These findings contribute to a better understanding of this disease and suggest that medications to modulate the inflammatory response and protect or restore the endothelial glycocalyx should be considered in future studies.
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